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WO2008010150A3 - instrument électrochirurgical - Google Patents

instrument électrochirurgical Download PDF

Info

Publication number
WO2008010150A3
WO2008010150A3 PCT/IB2007/052735 IB2007052735W WO2008010150A3 WO 2008010150 A3 WO2008010150 A3 WO 2008010150A3 IB 2007052735 W IB2007052735 W IB 2007052735W WO 2008010150 A3 WO2008010150 A3 WO 2008010150A3
Authority
WO
WIPO (PCT)
Prior art keywords
instrument
shaft
electrosurgical instrument
electrode
treatment
Prior art date
Application number
PCT/IB2007/052735
Other languages
English (en)
Other versions
WO2008010150A2 (fr
Inventor
Niels Kornerup
Patrick Busch-Madsen
Original Assignee
Lina Medical Aps
Niels Kornerup
Patrick Busch-Madsen
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Lina Medical Aps, Niels Kornerup, Patrick Busch-Madsen filed Critical Lina Medical Aps
Priority to EP07825910A priority Critical patent/EP2043540A2/fr
Priority to US12/373,250 priority patent/US20090254082A1/en
Publication of WO2008010150A2 publication Critical patent/WO2008010150A2/fr
Publication of WO2008010150A3 publication Critical patent/WO2008010150A3/fr

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1402Probes for open surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1442Probes having pivoting end effectors, e.g. forceps
    • A61B18/1445Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1492Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00214Expandable means emitting energy, e.g. by elements carried thereon
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00898Alarms or notifications created in response to an abnormal condition
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B2018/1405Electrodes having a specific shape
    • A61B2018/1407Loop

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Otolaryngology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Plasma & Fusion (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

La présente invention concerne un instrument électrochirurgical, plus particulièrement un instrument électrochirurgical pour l'hystérectomie laparoscopique. L'instrument comprend de plus une boucle dilatable et contractable positionnée pour émerger de façon contrôlable de l'extrémité distale de la tige; ladite boucle définissant une première électrode. L'instrument comprend de plus au moins une deuxième électrode qui, dans une première position, est disposée dans la tige et qui, dans une deuxième position, est extraite de la tige. L'instrument selon l'invention est extrêmement simple à utiliser et l'instrument fournit ainsi une amélioration par rapport au procédé de traitement monopolaire de la technique antérieure et par rapport au procédé de traitement bipolaire de la technique antérieure, à la fois en raccourcissant la durée de traitement et en simplifiant le contrôle du traitement.
PCT/IB2007/052735 2006-07-10 2007-07-10 instrument électrochirurgical WO2008010150A2 (fr)

Priority Applications (2)

Application Number Priority Date Filing Date Title
EP07825910A EP2043540A2 (fr) 2006-07-10 2007-07-10 Instrument electrochirurgical
US12/373,250 US20090254082A1 (en) 2006-07-10 2007-07-10 Electrosurgical instrument

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DKPA200600953 2006-07-10
DKPA200600953 2006-07-10

Publications (2)

Publication Number Publication Date
WO2008010150A2 WO2008010150A2 (fr) 2008-01-24
WO2008010150A3 true WO2008010150A3 (fr) 2008-08-14

Family

ID=38957165

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/IB2007/052735 WO2008010150A2 (fr) 2006-07-10 2007-07-10 instrument électrochirurgical

Country Status (3)

Country Link
US (1) US20090254082A1 (fr)
EP (1) EP2043540A2 (fr)
WO (1) WO2008010150A2 (fr)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9486355B2 (en) 2005-05-03 2016-11-08 Vessix Vascular, Inc. Selective accumulation of energy with or without knowledge of tissue topography
US10188457B2 (en) 2003-09-12 2019-01-29 Vessix Vascular, Inc. Selectable eccentric remodeling and/or ablation

Families Citing this family (22)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8920414B2 (en) 2004-09-10 2014-12-30 Vessix Vascular, Inc. Tuned RF energy and electrical tissue characterization for selective treatment of target tissues
US8396548B2 (en) 2008-11-14 2013-03-12 Vessix Vascular, Inc. Selective drug delivery in a lumen
US9125667B2 (en) 2004-09-10 2015-09-08 Vessix Vascular, Inc. System for inducing desirable temperature effects on body tissue
ATE542486T1 (de) 2005-03-28 2012-02-15 Minnow Medical Llc Intraluminale elektrische gewebecharakterisierung und abgestimmte hf-energie zur selektiven behandlung von atherom und anderen zielgeweben
ES2560006T3 (es) 2006-10-18 2016-02-17 Vessix Vascular, Inc. Inducción de efectos de temperatura deseables sobre tejido corporal
US8496653B2 (en) 2007-04-23 2013-07-30 Boston Scientific Scimed, Inc. Thrombus removal
EP2210567B1 (fr) 2009-01-26 2013-07-31 Lina Medical ApS Instrument électro-chirurgical bipolaire
US8551096B2 (en) 2009-05-13 2013-10-08 Boston Scientific Scimed, Inc. Directional delivery of energy and bioactives
AU2011238925B2 (en) 2010-04-09 2016-06-16 Vessix Vascular, Inc. Power generating and control apparatus for the treatment of tissue
US20110301598A1 (en) * 2010-06-07 2011-12-08 Arias Juan J Electrocautery Cutting Instrument with Elastic Wire Loop
US9084610B2 (en) 2010-10-21 2015-07-21 Medtronic Ardian Luxembourg S.A.R.L. Catheter apparatuses, systems, and methods for renal neuromodulation
EP2540243B1 (fr) 2011-06-28 2020-02-26 Lina Medical ApS Instrument électrochirurgical
EP2540242B1 (fr) 2011-06-28 2014-05-21 Lina Medical ApS Instrument électrochirurgical et dispositif pour ledit instrument
US9044575B2 (en) 2012-10-22 2015-06-02 Medtronic Adrian Luxembourg S.a.r.l. Catheters with enhanced flexibility and associated devices, systems, and methods
WO2014123571A1 (fr) 2013-02-05 2014-08-14 University Of South Florida Dispositif d'extraction de tissu par voie laparoscopique minimalement invasive
EP2996754B1 (fr) 2013-05-18 2023-04-26 Medtronic Ardian Luxembourg S.à.r.l. Sondes de neuromodulation comportant une tige, pour une souplesse et une commande améliorées, et dispositifs et systèmes associés
US8992525B2 (en) 2013-07-31 2015-03-31 Ent Biotech Solutions, Inc. Surgical instrument
WO2015113034A1 (fr) 2014-01-27 2015-07-30 Medtronic Ardian Luxembourg S.A.R.L. Cathéters de neuromodulation ayant des éléments de neuromodulation enveloppés et dispositifs, systèmes et procédés associés
JP2017513600A (ja) 2014-04-24 2017-06-01 メドトロニック アーディアン ルクセンブルク ソシエテ ア レスポンサビリテ リミテ 編組シャフトを有する神経調節カテーテル及び関連システム及び方法
WO2017120169A1 (fr) * 2016-01-05 2017-07-13 Iowa Approach, Inc. Systèmes, dispositifs et procédés d'application d'une énergie d'ablation à champ électrique pulsé sur un tissu de l'endocarde
US11547471B2 (en) * 2019-03-27 2023-01-10 Gyrus Acmi, Inc. Device with loop electrodes for treatment of menorrhagia
EP3945985A1 (fr) 2019-03-29 2022-02-09 CooperSurgical, Inc. Dispositifs endoscopiques et procédés associés

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5318564A (en) * 1992-05-01 1994-06-07 Hemostatic Surgery Corporation Bipolar surgical snare and methods of use
US5437665A (en) * 1993-10-12 1995-08-01 Munro; Malcolm G. Electrosurgical loop electrode instrument for laparoscopic surgery
WO1996024296A1 (fr) * 1995-02-10 1996-08-15 Enable Medical Corporation Procede et appareil destine a morceler et a retirer un tissu d'un patient
EP1004277A1 (fr) * 1998-11-25 2000-05-31 Medsys S.A. Boucle électrochirurgicale et instrument pour la chirurgie laparoscopique
US6537273B1 (en) * 1999-07-02 2003-03-25 Alexander K. D. Sosiak Device and method for removing large tissue masses
WO2004002350A1 (fr) * 2002-06-28 2004-01-08 Ethicon, Inc. Dispositif a radiofrequence de traitement de l'uterus
WO2007024386A2 (fr) * 2005-08-25 2007-03-01 Boston Scientific Scimed, Inc. Procede de resection endoscopique

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5957967A (en) * 1998-02-19 1999-09-28 Medtronic, Inc. Implantable medical lead using stamped conductor and distal loop

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5318564A (en) * 1992-05-01 1994-06-07 Hemostatic Surgery Corporation Bipolar surgical snare and methods of use
US5437665A (en) * 1993-10-12 1995-08-01 Munro; Malcolm G. Electrosurgical loop electrode instrument for laparoscopic surgery
WO1996024296A1 (fr) * 1995-02-10 1996-08-15 Enable Medical Corporation Procede et appareil destine a morceler et a retirer un tissu d'un patient
EP1004277A1 (fr) * 1998-11-25 2000-05-31 Medsys S.A. Boucle électrochirurgicale et instrument pour la chirurgie laparoscopique
US6537273B1 (en) * 1999-07-02 2003-03-25 Alexander K. D. Sosiak Device and method for removing large tissue masses
WO2004002350A1 (fr) * 2002-06-28 2004-01-08 Ethicon, Inc. Dispositif a radiofrequence de traitement de l'uterus
WO2007024386A2 (fr) * 2005-08-25 2007-03-01 Boston Scientific Scimed, Inc. Procede de resection endoscopique

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10188457B2 (en) 2003-09-12 2019-01-29 Vessix Vascular, Inc. Selectable eccentric remodeling and/or ablation
US9486355B2 (en) 2005-05-03 2016-11-08 Vessix Vascular, Inc. Selective accumulation of energy with or without knowledge of tissue topography

Also Published As

Publication number Publication date
WO2008010150A2 (fr) 2008-01-24
US20090254082A1 (en) 2009-10-08
EP2043540A2 (fr) 2009-04-08

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